Healthcare Provider Details

I. General information

NPI: 1497961866
Provider Name (Legal Business Name): RELIABLE PRIVATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 S KIRKMAN RD
ORLANDO FL
32811-2068
US

IV. Provider business mailing address

775 S KIRKMAN RD SUITE # 112
ORLANDO FL
32811-2068
US

V. Phone/Fax

Practice location:
  • Phone: 407-290-5678
  • Fax:
Mailing address:
  • Phone: 407-290-5678
  • Fax: 407-290-6956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MISS NORMA HANSON
Title or Position: CEO
Credential: BSN
Phone: 407-290-5678